Garuda - Garba Rujukan Digital

Perawatan Diri Pada Pasien Kusta Di Puskesmas Ulakan Kabupaten Padang Pariaman Tutty Ariani; Rina Gustia; Satya Wydya Yenny; Qaira Anum; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Irdawati Izrul; Yosse Rizal; Mutia Sari; Yola Fadilla; Rizkia Chairani Asri
Prosiding Seminar Nasional Unimus Vol 5 (2022): Inovasi Riset dan Pengabdian Masyarakat Guna Menunjang Pencapaian Sustainable Developm
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Peningkatan kasus kusta baru pada tahun 2021 yang tersebar di 19 Kabupaten/Kota dengandistribusi terbanyak pada Kabupaten Padang Pariaman masih menjadi permasalahan di ProvinsiSumatera Barat. Hal ini menyebabkan masih terdapatnya kantong-kantong kusta yang berperandalam penularan kusta sehingga upaya eliminasi kasus kusta di tingkat Kabupaten/Kota sulit untukterwujud. Puskesmas Ulakan merupakan salah satu Puskesmas di Kabupaten Padang Pariamandengan 12 kasus baru (19%) multibasiler. Dalam upaya melakukan pemutusan rantai penularan danmeningkatkan pemahaman kepada masyarakat tentang penyakit kusta, maka DepartemenDermatologi dan Venereologi melakukan penyuluhan tentang pentingnya perawatan diri pasienkusta yang dapat dilakukan secara mandiri. Dari 14 pasien kusta didapatkan 70% pengetahuanpasien masih rendah dan setelah kegiatan, pengetahuan rendah turun menjadi 48% dan 52% pasiensudah memiliki pengetahuan yang tinggi. Tingkat perawatan diri pasien 72% masih buruk, stigmadidapatkan tinggi pada usia <45 tahun dengan latar belakang pendidikan tinggi. Dilakukan jugaadvokasi kepada pemegang program dan Kepala Dinas Kesehatan Kab. Padang Pariaman untukmengaktifkan kembali Kelompok Perawatan Diri (KPD).Kata kunci: perawatan diri, kusta, kelompok perawatan diri

Life Cycle Cost Gedung LPPM Universitas Veteran Bangun Nusantara Sukoharjo Yosse Rizal; Firdausi, Annisa Azhar; Hendramawat Aski Safarizki; Agung Wibawa
JOURNAL OF CIVIL ENGINEERING BUILDING AND TRANSPORTATION Vol. 9 No. 1 (2025): JCEBT MARET
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/jcebt.v9i1.13994

Gedung Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LPPM) Universitas Veteran Bangun Nusantara (UVBN) dibangun pada tahun 2018 dan diresmikan pada tahun 2020. Untuk memastikan pengelolaan biaya yang efisien selama umur layan bangunan, perhitungan Life Cycle Cost (LCC) diperlukan. LCC adalah pendekatan yang mempertimbangkan seluruh biaya dari perencanaan, konstruksi, operasional, pemeliharaan, hingga pembongkaran bangunan. Penelitian ini bertujuan untuk menghitung dan menganalisis LCC pada gedung LPPM selama 50 tahun, dengan fokus pada biaya awal, biaya operasional, biaya pemeliharaan, dan biaya penggantian komponen. Metode yang digunakan adalah perhitungan LCC dengan simulasi biaya berdasarkan data aktual dan tingkat inflasi yang relevan. Hasil penelitian menunjukkan bahwa biaya total LCC gedung LPPM selama 50 tahun mencapai Rp. 16.900.342.884, dengan komponen biaya pemeliharaan dan penggantian mencapai 56,67%. Pembahasan menunjukkan bahwa pemeliharaan rutin dan penggantian komponen gedung merupakan bagian terbesar dari biaya LCC. Berdasarkan hasil ini, disarankan agar pengelola bangunan memprioritaskan perencanaan pemeliharaan yang efisien untuk mengurangi biaya jangka panjang.

The 15-Year Shadow: Borderline Lepromatous Leprosy with Erythema Nodosum Leprosum Following Prolonged Treatment Default Rendra Darmasatria; Tutty Ariani; Yosse Rizal; Rina Gustia; Irdawaty Izrul
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1405

Background: Leprosy, caused by Mycobacterium leprae, persists as a global health issue where the primary challenges are not merely microbial but are deeply rooted in delayed diagnosis and poor treatment adherence. These delays, often driven by profound social stigma, lead to progressive, irreversible disability and sustain community transmission. Erythema Nodosum Leprosum (ENL), an acute immunological complication, further devastates patients' quality of life and complicates management. Case presentation: A 53-year-old Indonesian farmer presented with a 15-year history of untreated leprosy, a journey of neglect initiated by fear of treatment side effects and community ostracism. Clinical examination revealed advanced borderline lepromatous (BL) leprosy with diffuse skin infiltration, multiple anesthetic plaques, and thickened, tender peripheral nerves. He had established WHO Grade 1 disability, characterized by significant sensory loss in his hands and feet and early intrinsic muscle atrophy. A slit-skin smear confirmed a bacteriological index of +3 with a morphological index of 5%, indicating a high load of viable bacilli. Histopathology confirmed BL leprosy with a concurrent mild ENL reaction. A comprehensive, patient-centered management plan was initiated, including a 12-month course of multidrug therapy (MDT-MB), adjunctive care, and intensive counseling. Conclusion: This case powerfully illustrates the "shadow effect" of leprosy—how years of untreated disease, fueled by psychosocial barriers, culminate in a complex nexus of advanced infection, immunological reaction, and permanent neurological impairment. The patient's successful re-engagement with the health system underscores that eradicating the burden of leprosy requires a paradigm shift from a purely pharmacological approach to a deeply humanistic one. Effective control hinges on building compassionate health systems that actively dismantle stigma, empower patients with knowledge, and deliver holistic, multidisciplinary care to prevent the profound human cost of neglect.

The 15-Year Shadow: Borderline Lepromatous Leprosy with Erythema Nodosum Leprosum Following Prolonged Treatment Default Rendra Darmasatria; Tutty Ariani; Yosse Rizal; Rina Gustia; Irdawaty Izrul
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1405

Background: Leprosy, caused by Mycobacterium leprae, persists as a global health issue where the primary challenges are not merely microbial but are deeply rooted in delayed diagnosis and poor treatment adherence. These delays, often driven by profound social stigma, lead to progressive, irreversible disability and sustain community transmission. Erythema Nodosum Leprosum (ENL), an acute immunological complication, further devastates patients' quality of life and complicates management. Case presentation: A 53-year-old Indonesian farmer presented with a 15-year history of untreated leprosy, a journey of neglect initiated by fear of treatment side effects and community ostracism. Clinical examination revealed advanced borderline lepromatous (BL) leprosy with diffuse skin infiltration, multiple anesthetic plaques, and thickened, tender peripheral nerves. He had established WHO Grade 1 disability, characterized by significant sensory loss in his hands and feet and early intrinsic muscle atrophy. A slit-skin smear confirmed a bacteriological index of +3 with a morphological index of 5%, indicating a high load of viable bacilli. Histopathology confirmed BL leprosy with a concurrent mild ENL reaction. A comprehensive, patient-centered management plan was initiated, including a 12-month course of multidrug therapy (MDT-MB), adjunctive care, and intensive counseling. Conclusion: This case powerfully illustrates the "shadow effect" of leprosy—how years of untreated disease, fueled by psychosocial barriers, culminate in a complex nexus of advanced infection, immunological reaction, and permanent neurological impairment. The patient's successful re-engagement with the health system underscores that eradicating the burden of leprosy requires a paradigm shift from a purely pharmacological approach to a deeply humanistic one. Effective control hinges on building compassionate health systems that actively dismantle stigma, empower patients with knowledge, and deliver holistic, multidisciplinary care to prevent the profound human cost of neglect.

INFANTICIDE DENGAN TINDAKAN MUTILASI: TINJAUAN FORENSIK BERDASARKAN PEMERIKSAAN LUAR DAN DALAM JENAZAH BAYI Rosmawaty, Rosmawaty; Yosse Rizal; Khomeini, Khomeini
Nusantara Hasana Journal Vol. 5 No. 7 (2025): Nusantara Hasana Journal, December 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar

Infanticide accompanied by mutilation represents an extreme form of fatal violence against neonates and poses significant challenges in forensic andmedicolegal investigations. In criminal proceedings, the absence of witnesses and limited non-medical evidence often complicate the determination of the cause and mechanism of death, particularly when mutilation involving sharp force trauma is present. Forensic medicine, through comprehensive postmortem examination and the preparation of visum et repertum, plays a crucial role in providing objective and scientifically valid evidence. This article aims to analyze the mechanism of death in a case of infanticide with mutilation based on external and internal examinations of a neonatal body. This study employed a forensic case report design using data derived from a visum et repertum Pro Justitia. External examination revealed dismemberment of body parts, multiple abrasions, lacerations, and irregular open wounds consistent with sharp force trauma associated with mutilation. Internal examination demonstrated hemorrhagic infiltration of the cranial bones and dilated cerebral blood vessels, indicating vital reactions due to blunt force trauma. These findings indicate that the cause of death was blunt force head trauma sustained while the victim was alive, whereas the mutilation caused by sharp force trauma occurred during the peri-mortem or post-mortem period. It is concluded that visum et repertum provides strong evidentiary value and plays a central role in determining the mechanism of death and supporting legal proceedings in cases of infanticide with mutilation.

Title

Found 5 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 5 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 5 Documents
Search